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When a 12 year old continuously pees, should he clean it up?

I have a 12 year old step son who pees every night either in his bed or in a chair. The dr says the main issue is poor diet. Being the step mom, I have no say in his poor eating habits. So we just give him pull-ups at night. Last night he didn't put one on & fell asleep in the chair in the living room. I think if he can't be bothered to put on a pull-up then he needs to take responsibility & clean up the mess. Am I being unreasonable here?

No you are not being unreasonable, IMO. I would be potty training him again, as in, remining him to go to the bathroom. And to put on his diaper. He want to act like a baby, treat him like a baby. Except for the cleaning up. He is old enough to wash his own sheets.

Yes. Making him clean it up is making him responsible for this condition. If he knows this is a possibility he he old enough to be responsible for putting on the right kind of garment. In the long run, if he gets sick of cleaning it up he can also be responsible for changing his eating habits - which hopefully rectifies the problem for him.

He is for sure old enough. I had bladder and kidney issues when I was younger and wet the bed until I was about that age, but I was responsible for cleaning up. I had to change my sheets, wash them and wash my pajamas too. And I wouldn't be letting him sleep on the chair either.

If he is battling encopresis and having problems with constipation then perhaps it's time to find something that works better than Mirilax. I have read that it can take a long time for the colon to get back to a normal shape / size. I hope things improve soon.